| NPI | 1215237110 |
|---|---|
| Former Name | MARY-GRACE G MABASA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN001246) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APN 1246) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV TAPN700611) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NV APRN001246) | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2023-08-09 |